MEDICARE: HEALTH & HOME CAREGIVERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility
2	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1699286039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH & HOME CAREGIVERS LLC

Provider Business Mailing Address
First Line	:	307 BROOKEDGE DR
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-2416
Country	:	US
Telephone Number	:	804-324-8686
Fax Number	:

Provider Business Practice Location Address
First Line	:	307 BROOKEDGE DR
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-2416
Country	:	US
Telephone Number	:	804-324-8686
Fax Number	:	804-324-8686

Authorized Official
Title or Position	:	CEO
Name	:	KELVIN LORENZO MCDANIEL
Credential	:
Telephone Number	:	804-324-8686

Provider Enumeration Date	:	10/12/2017
Last Update Date	:	09/19/2025

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